Product 1

Discharge Navigator

Clinical & Social Work Portal

Social workers and care navigators spend hours on the phone trying to find affordable post acute care options for patients who are ready to be discharged. TruCost's Discharge Navigator eliminates that friction, delivering a ranked list of covered, affordable, nearby providers in real time, matched to the patient's specific coverage and social needs.

Instead of calling five skilled nursing facilities to ask whether they take a patient's plan, a navigator sees which facilities are already confirmed in network, what the estimated out of pocket cost is, and which ones offer transportation, meals, or language support, all before the discharge order is signed.

  • Filter local providers by accepted Medicaid Managed Care plans, Medicare Advantage, and commercial insurance, updated from live MRF data
  • Rank by out of pocket cost, distance, and patient specific coverage to surface the best match, not just the nearest option
  • SDOH enrichment flags providers offering transportation, meals, housing support, behavioral health, and language services
  • Prevent medical debt before discharge, not after the bill arrives
  • Works alongside existing EHR systems, no separate login or workflow disruption
Designed for
Social Workers Care Navigators Hospital Case Managers FQHCs Rural Clinics
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Discharge Navigator, Patient #4821, Molina Medicaid FL
🏥
Sunshine Skilled Nursing & Rehab
4.6 stars, Molina confirmed, 0.8 mi, transportation, meals
$0/day, Best
🏥
Miami Community Health Center
4.4 stars, FQHC, sliding scale, 1.2 mi, language services
$0 to $40, Sliding
🏠
Brickell Home Health Services
4.5 stars, Medicare cert., PT/OT, 2.1 mi, Meals on Wheels
$0/visit, Covered
🏥
Overtown Transitional Care
4.2 stars, Cardiac & ortho rehab, 3.4 mi
~$28/day
4 providers found matching Molina Medicaid FL within 5 miles
Rate Benchmarking, Blue Cross FL, Miami-Dade Market
CPTYour RateMarket MedianStatus
99213
$124
$112
+10.7%
99214
$148
$168
-11.9%
93000
$52
$48
+8.3%
80053
$38
$34
+11.8%
45378
$1,320
$1,480
-10.8%
2 rates below market median. Renegotiation recommended for CPT 99214 and 45378.
Product 2

Rate Benchmarking & Negotiation

Strategic Contract Intelligence

Independent practices and hospital finance teams have historically negotiated payer contracts blind, without knowing what the market actually pays for the same services. TruCost changes that. Our rate benchmarking tool pulls exact negotiated rates from public MRF data, giving you the market intelligence to negotiate from a position of knowledge instead of a position of guesswork.

Rather than waiting for a payer's renewal offer and hoping it is fair, a practice administrator can pull up every CPT code in their contract, see the market median for that payer in their county, and walk into a renegotiation with evidence instead of anecdote.

  • Pull exact rate benchmarks by CPT code, payer, and geographic market, sourced directly from federally mandated MRF files
  • Generate automated contract comparison reports identifying where your rates fall below market median
  • Model complex negotiation scenarios and rate increase targets before entering discussions with payers
  • Identify rate outliers across your contract portfolio and prioritize renegotiation by revenue impact
  • Support ERISA fiduciary responsibility compliance for self insured employers and benefit administrators
Designed for
Independent Practices Hospital CFOs Revenue Cycle Teams Self-Insured Employers Health Plans
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Product 3

TruCost Drugs

Prescription Pricing Engine

Most patients do not know that paying cash, or using a Patient Assistance Program, can cost dramatically less than using their Medicare Part D coverage. TruCost Drugs surfaces this comparison in real time at the point of prescribing, so clinicians and patients make medication decisions with complete cost clarity. No more choosing between filling a prescription and paying rent.

The tool is architected to extend beyond Medicare Part D, GoodRx, and Cost Plus Drugs to commercial insurer rates as those rates become part of TruCost's broader MRF pipeline, without a schema change on the patient facing side.

  • Compare Medicare Part D formulary tier costs, retail cash prices, GoodRx and Cost Plus Drugs pricing, and Patient Assistance Program eligibility, side by side
  • Indexed by NDC (National Drug Code) and RxCUI identifiers for zero ambiguity drug lookup across all channels
  • Surface manufacturer PAP programs (Novo Nordisk, AbbVie, Gilead, Lilly, and 200+ others) with eligibility criteria and application guidance
  • Real time data. Part D plan rates and retail prices are updated continuously, not monthly snapshots
  • Patient facing free access, with optional premium features for providers and care teams
Designed for
Patients Prescribing Physicians Pharmacists Medicare Beneficiaries Chronic Disease Patients
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TruCost Drugs, Price Comparison
Humira (Adalimumab)
40mg/0.8mL, 2 pens, 14-day supply
Medicare Part D
$3,200
Tier 5 Specialty
Cash / Retail
$3,450
Specialty pharmacy
AbbVie Assist
$5/mo
Best Option
Potential savings: $38,340 / year. Income under $40K/yr, no adequate insurance
💊
Eliquis (Apixaban), 5mg, 60 tabs
Part D: $541, GoodRx: $48, BMS PAP: $30/mo
$48 best
💊
Metformin HCl, 1000mg, 90 tabs
Part D: $34, GoodRx: $6, generic widely available
$6 best

Not sure which product fits your workflow?

Tell us about your organization and we will point you to the right tool, whether that is a live demo, a pilot, or a free patient facing rollout.